Inge Roggen1, Gerlant van Berlaer, Frans Gordts, Denis Pierard, Ives Hubloue. 1. aDepartment of Emergency and Disaster Medicine bDepartment of Otolaryngology - Head and Neck Surgery cDepartment of Microbiology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Jette, Belgium.
Abstract
BACKGROUND: Belgian antibiotic (AB) policy guidelines discourage the use of ABs in sore throat in otherwise healthy individuals; yet, 35% of all children with sore throat in our pediatric emergency department receive a prescription for ABs. OBJECTIVE: To identify factors influencing our physician's prescription behavior. PATIENTS AND METHODS: Using a retrospective study, we analyzed all medical records of children younger than 16 years of age diagnosed with sore throat (in 2009 and 2010). We included 1345 files. RESULTS: Children younger than 5 years of age received an AB prescription more easily (37.8 vs. 27.7%; P=0.0007). Children of White origin received less frequent ABs compared with non-Whites (31.6 vs. 37.8%; P=0.02). More ABs were prescribed during night shifts (38.7 vs. 31.8%; P=0.008). Physicians with a Belgian degree prescribed less frequently compared with those with a Dutch degree (23.4 vs. 46.4%; P<0.0001). CONCLUSION: We find several 'practical' factors to have an influence on the AB prescription rate.
BACKGROUND: Belgian antibiotic (AB) policy guidelines discourage the use of ABs in sore throat in otherwise healthy individuals; yet, 35% of all children with sore throat in our pediatric emergency department receive a prescription for ABs. OBJECTIVE: To identify factors influencing our physician's prescription behavior. PATIENTS AND METHODS: Using a retrospective study, we analyzed all medical records of children younger than 16 years of age diagnosed with sore throat (in 2009 and 2010). We included 1345 files. RESULTS:Children younger than 5 years of age received an AB prescription more easily (37.8 vs. 27.7%; P=0.0007). Children of White origin received less frequent ABs compared with non-Whites (31.6 vs. 37.8%; P=0.02). More ABs were prescribed during night shifts (38.7 vs. 31.8%; P=0.008). Physicians with a Belgian degree prescribed less frequently compared with those with a Dutch degree (23.4 vs. 46.4%; P<0.0001). CONCLUSION: We find several 'practical' factors to have an influence on the AB prescription rate.
Authors: Gina Schinkelshoek; Dorine M Borensztajn; Joany M Zachariasse; Ian K Maconochie; Claudio F Alves; Paulo Freitas; Frank J Smit; Johan van der Lei; Ewout W Steyerberg; Susanne Greber-Platzer; Henriëtte A Moll Journal: BMJ Paediatr Open Date: 2020-09-15